Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $37.86 / $97.47	Facility		$16.63	$37.86	$97.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $16.63 / $37.86	Professional		$13.69	$16.63	$37.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $40.69 / $100.00	Facility		$18.57	$40.69	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $16.10 / $33.61	Professional		$8.74	$16.10	$33.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $32.09 / $51.75	Facility		$12.25	$32.09	$51.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $22.82 / $35.54	Professional		$12.22	$22.82	$35.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.07 / $18.77	Professional		$12.59	$17.07	$18.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $18.57 / $45.10	Facility		$17.69	$18.57	$45.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $26.54 / $48.65	Facility		$17.69	$26.54	$48.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $15.92 / $15.92	Professional		$15.92	$15.92	$15.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $29.19 / $48.65	Facility		$20.34	$29.19	$48.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $17.69 / $47.60	Professional		$13.27	$17.69	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.96 / $17.69	Professional		$7.43	$7.96	$17.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $9.16	Professional		$7.96	$7.96	$9.16